HomeMy Public PortalAbout5530-5605TEMPLE CITY BLVD_Mechanical (2) ' I C
76A 364,- CESIB - 3-69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS DEPARTMENT OF COUNTY ENGINEER F
LES BuL55 6 N. Temple Cit OO
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE COUNTY ENGINEER ITY Tem le City
COLEMAN W JENKINS SUPERINTENDENT OF BUILDINGSST E. IISOe Oak
FOR APPLICANT TO FILL IN R. C. McCloskH IAO.
(PRINT OR TYPE ONLY) y��
NO TYPE OF APPLIANCE OR EQUIPMENT FEE 55 70 �• MarlpO Mariposa
ABSORPTION SYSTEM BTU CITY Altadena TEL NO 998-0039
Z AIR HANDLING UNIT CFM CONTRACTOR
0. A. Poindextere I2
BOILER HORSEPOWER ADDRESS Box 067
Z COMPRESSOR, HORSEPOWER CITY Pasadena TEL NO -
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LICENSE NO 2208SA E62 CLASS C20
VENTILATION SYSTEM DISTRICT NO GROUP1 ZONE PROLES EO BY
EVAPORATIVE COOLER 'G f� ' Z
FURNACE FAU GRAVITY _! v ')
INSPECTION RECORD
FLOOR BTU
HEATER SUSPENDED—UNIT—
WALL
USPENDED_UNIT_WALL }
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NEW_ADDITION_ PERMIT S 3 00 Z
ALTER--REPAIR— TOTAL FEE S 10. 00
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO '
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING,VENTI-
LATING AIR CONDITIONING APPROVALS D TE I CTOR'9 GN TURF
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATIQN OF ROUGH
CHAPTER 9 DIVISION 3 OF THE SINESS AMD OFE9 ORAL FINAL
CODE OF THE STAT CA 0
SIGNATURE JACK R ALLEN. SUPE ING MECHANICAL ENG'R
OF PERMITTEE
PERMIT VALIDATION M 0 CASH
PLAN CHECK VALIDATION
Lto ^ 2 e 5 N DEC 21 4 1 D 1 0.0 0- Q
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE